Getting the right products to the right people
World Malaria DayApril 25, 2011
Session Overview
• Background• Buying quality products• Getting them the first
mile• Ensuring availability at
the last mile
Background: who we are, what we do• John Snow, Inc. (JSI)
– Public health consulting firm established in 1978– Over 20 years experience working to ensure the availability of
pharmaceuticals and other health supplies in Africa, Latin America and Asia
• USAID | DELIVER PROJECT, Task Order Malaria
– Procured $260,000,000 worth of malaria products since 2007 for 21 African countries
– Work to strengthen the public health supply chains in 12 African countries
– Undertake global advocacy to addressPSM bottlenecks
Procuring quality malaria products
• By the end of 2010, procured $260 million worth of malaria products– 29 million bednets– 100 million ACT
treatments– 23 million RDTs– 44 million tablets of SP for
IPTp
Getting product the “first mile”: Angola
• Background: significant losses at central medical store
• Consolidated
shipment of ACTs and
RDTs in Liege, Belgium• Packed by province,
19 consignees for
18 provinces
Getting product the “first mile”: Angola
• In-country distribution, direct from Luanda airport to provinces, took 5 days (halved the distribution time from previous shipments)
• No central level
warehousing: saved
$50,000 in warehouse
costs and $7000 in security• No losses, no damage
Ensuring availability at the last mile: Zambia
• Conducted pilot to improve availability of malaria and other essential medicines (in partnership with DFID, WB, GOZ)
• 2 model and 1 control group of districts– Model A: districts hold stock and resupply health facilities– Model B: districts serve as cross-dock and facilitate transport of pre-packed
commodities to health facilities
• Results– Both models improved availability
(reduced stock outs) over the control, but Model B did better
– Both models lessened days out of stock over the control, but Model B did better
Zambia supply chain pilot results
Reduced stock outs
Zambia supply chain pilot results
Reduced duration of stock outs (in days)
Conclusion
• Support PMI’s goal of reducing malaria burden in its focus countries through:– Procuring critical malaria products– Delivering to the intended recipient– Strengthening the in-country supply system to ensure that
those requiring malaria products receive them
Thank you. Questions?
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